Catastrophic health expenditures and impoverishment in the households receiving expensive interventions before and after health sector evolution plan in Iran: Evidence from a big hospital

Salman Shojaei; Mehdi Yousefi; Hossein Ebrahimipour; A. li Valinejadi; Hamed Tabesh; Somayeh Fazaeli; A. li khorsand

Koomesh

Journal of Semnan University of Medical Sciences

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Catastrophic health expenditures and impoverishment in the households receiving expensive interventions before and after health sector evolution plan in Iran: Evidence from a big hospital

Author(s):

Salman Shojaei,

Mehdi Yousefi

^,*,

Hossein Ebrahimipour,

A. li Valinejadi,

Hamed Tabesh,

Somayeh Fazaeli,

A. li khorsand

Koomesh:Vol. 20, issue 2; 283-290

Published online:Apr 01, 2018

Article type:Research Article

Received:Aug 03, 2017

Accepted:Dec 01, 2017

How to Cite:Salman Shojaei, Mehdi Yousefi, Hossein Ebrahimipour, A. li Valinejadi, Hamed Tabesh, et al. Catastrophic health expenditures and impoverishment in the households receiving expensive interventions before and after health sector evolution plan in Iran: Evidence from a big hospital.koomesh.2018;20(2):e152958.

Abstract

Introduction: Household financial contribution (HFC) in health is one of the most important goals of health systems. The purpose of this study was to compare the exposure of households to catastrophic health expenditures and impoverishment before and after the health sector evolution (HSE) plan in Iran in a big governmental Hospital. Materials and Methods: This study investigates the households with hospitalization history in public and tertiary referral hospital, CHE is calculated using representative data from Households receiving expensive interventions in the imam Reza hospital. Data related to treatment expenditures were obtained from Hospital Information System (HIS) and data related to households’ food and non-food expenditures were obtained using questionnaire in expenditure-income survey of Iran’s Statistics Center as well as phone calls to the households. Households who had dedicated ≥40% of their Capacity to Pay (CTP) to health expenditures experienced catastrophic health expenditures. Results: Exposure to catastrophic health expenditures in the households decreased from 81.1% before the implementation of HSE to 66.7% after the implementation of HSE (p

Keywords

Catastrophic Health Expenditures

Impoverishment

Financial Contribution

Health Sector Evolution

هزینه‌های کمرشکن سلامت

فقر

مشارکت مالی

طرح تحول سلامت

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